The Institute of Medicine and the National Research Council released some damaging numbers this month: Americans ranks startlingly low in life expectancy, compared to 16 other similarly developed countries. This is especially true for younger Americans. Indeed, among people 55 and under, we rank dead last. Among those 50-80 years old, our life expectancy is 3rd or 2nd to last.

Sabrina Tavernise at the New York Times reports that the “major contributors” to low life expectancy among younger Americans are high rates of death from guns, car accidents, and drug overdoses. We also have the highest rate of diabetes and the second-highest death rate from lung and heart disease.

Americans had “the lowest probability over all of surviving to the age of 50.” The numbers for American men were slightly worse than those for women. Overall, life expectancy for men was 17 out of 17; women came in 16th. Education and poverty made a difference too, as did the more generous social services provided by the other countries in the study.